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1972647147
MARY SUSAN ZICKEFOOSE
CANON CITY, CO
NPI
1972647147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 41337)
Enumeration Date
2007-02-19
Last Update Date
2013-09-05
Business Address
Dr. MARY SUSAN ZICKEFOOSE M.D.
571 TAYLOR TRL
CANON CITY, CO 81212-3600
Phone number: 719-275-6200
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Mailing Address
Dr. MARY SUSAN ZICKEFOOSE M.D.
571 TAYLOR TRL
CANON CITY, CO 81212-3600
Phone number: 719-275-6200
Copy
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